Provider Demographics
NPI:1275733990
Name:MIDDLETOWN BOARD OF EDUCATION
Entity Type:Organization
Organization Name:MIDDLETOWN BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-217-2637
Mailing Address - Street 1:1 DONHAM PLZ FL 4
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-1932
Mailing Address - Country:US
Mailing Address - Phone:513-423-0781
Mailing Address - Fax:513-420-4579
Practice Address - Street 1:1 DONHAM PLZ FL 4
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-1932
Practice Address - Country:US
Practice Address - Phone:513-423-0781
Practice Address - Fax:513-420-4579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0900225Medicaid